R/V MANTA TIME REQUEST FORM

Completed form should be received at least 21 days in advance.

SUBMIT ONE COPY via E-MAIL to rutkowsp@tamug.edu or fax one copy to Bill Seitz at 409-740-4754.

DATE ______________________________

REQUESTOR’S NAME, TITLE AND CONTACT INFORMATION:

_________________________________________________________________

Telephone Number__________________ e-mail __________________________ 

PREFERRED DATES: (attach additional sheets as needed)

_________________________________________________________________

PURPOSE OF CRUISE:  (Include area of operation)

_________________________________________________________________ 

_________________________________________________________________ 

SCIENCE PARTY (list every individual on cruise by name): 

_________________________________________________________________

_________________________________________________________________ 

_________________________________________________________________

Are you providing the funds ($2500 per day) or is this a request for free time (generally limited to student/class use)?

Providing Funds_____                       Free Time_____ 

Will you be diving on this trip?

Yes_____                    No_____

Assoc. VP Research & Grad Studies Approval___________________________

Texas A&M University at Galveston

Please attach a preliminary cruise plan.

Manta Request Form (MS Word)